Active NPI
Victoria Mancini
- Art Therapist
- Brooklyn, NY
National Provider Identifier
1467073056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 002743
- Practice address
- 263 Hull St Apt 511
Brooklyn, NY 11233-6998 - Phone
- (203) 206-7427
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Art Therapist | 221700000X | 002743 | NY | Primary |
Addresses
Primary practice location
263 Hull St Apt 511
Brooklyn, NY 11233-6998
Mailing address
59 Flagg Rd
West Hartford, CT 06117-2323
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002743 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699056000000",
"number": "1467073056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 FLAGG RD",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061172323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 HULL ST APT 511",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112336998",
"telephone_number": "203-206-7427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCINI",
"first_name": "VICTORIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-05",
"last_updated": "2023-11-04",
"certification_date": "2023-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "002743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.